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PASSIONATE DENTAL WELLNESS PA CORPORATION
PASSIONATE DENTAL WELLNESS PA CORPORATION
NPI: 1932871100
· JASPER, TX 75951
· Dental Clinic/Center
· NPI assigned 10/05/2021
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RALPH, PATRICK (OWNER) |
| NPI Enumeration Date | 10/05/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
59 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
15 |
$0.00 |
| D0603 |
|
20 |
19 |
$0.00 |